{"id":13829,"date":"2020-10-27T09:21:53","date_gmt":"2020-10-27T08:21:53","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=13829"},"modified":"2020-10-27T09:21:53","modified_gmt":"2020-10-27T08:21:53","slug":"score-de-wells-pour-la-thrombose-veineuse-profonde","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/fr\/calculateurs\/score-de-wells-pour-la-thrombose-veineuse-profonde\/","title":{"rendered":"Score de Wells pour la thrombose veineuse profonde"},"content":{"rendered":"<p>S\u2019appuyant sur des donn\u00e9es d\u2019anamn\u00e8se et des crit\u00e8res cliniques, le score de Wells pour la thrombose veineuse profonde (TVP) permet d\u2019\u00e9tablir la probabilit\u00e9 d\u2019\u00eatre en pr\u00e9sence d\u2019une TVP. La probabilit\u00e9 pr\u00e9-test qui en r\u00e9sulte aboutit \u00e0 des recommandations pour la suite des d\u00e9marches diagnostiques.<\/p>\n    <div class=\"medical-calculator wells-leg-veins\" id=\"medical-calculator-wells-leg-veins\">\r\n        <form>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Cancer actif<br \/>\r\n                    <span class=\"label-lighter\">Traitement au cours des 6 derniers mois ou palliation<\/span>\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-sm-3\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"active-cancer\" id=\"medical-calculator-wells-leg-veins-active-cancer-n\" value=\"N\" tabindex=\"1\" autocomplete=\"off\">\r\n                                                        Non\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"active-cancer\" id=\"medical-calculator-wells-leg-veins-active-cancer-y\" value=\"Y\" tabindex=\"2\" autocomplete=\"off\">\r\n                                                        Oui (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Paralysie, par\u00e9sie ou immobilisation r\u00e9cente des membres inf\u00e9rieurs\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-sm-2\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"paralysis-paresis\" id=\"medical-calculator-wells-leg-veins-paralysis-paresis-n\" value=\"N\" tabindex=\"3\" autocomplete=\"off\">\r\n                                                        Non\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"paralysis-paresis\" id=\"medical-calculator-wells-leg-veins-paralysis-paresis-y\" value=\"Y\" tabindex=\"4\" autocomplete=\"off\">\r\n                                                        Oui (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Alitement (&ge; 3 jours) ou chirurgie majeure dans les 12 semaines pass\u00e9es\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-sm-2\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"bedriddenness\" id=\"medical-calculator-wells-leg-veins-bedriddenness-n\" value=\"N\" tabindex=\"5\" autocomplete=\"off\">\r\n                                                        Non\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"bedriddenness\" id=\"medical-calculator-wells-leg-veins-bedriddenness-y\" value=\"Y\" tabindex=\"6\" autocomplete=\"off\">\r\n                                                        Oui (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Douleur localis\u00e9e ou induration le long des veines profondes\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-sm-2\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"local-pain-deep-venous\" id=\"medical-calculator-wells-leg-veins-local-pain-deep-venous-n\" value=\"N\" tabindex=\"7\" autocomplete=\"off\">\r\n                                                        Non\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"local-pain-deep-venous\" id=\"medical-calculator-wells-leg-veins-local-pain-deep-venous-y\" value=\"Y\" tabindex=\"8\" autocomplete=\"off\">\r\n                                                        Oui (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label mt-auto\">\r\n                                    Enflure globale de la jambe\r\n                                <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"whole-leg-swollen\" id=\"medical-calculator-wells-leg-veins-whole-leg-swollen-n\" value=\"N\" tabindex=\"9\" autocomplete=\"off\">\r\n                                                        Non\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"whole-leg-swollen\" id=\"medical-calculator-wells-leg-veins-whole-leg-swollen-y\" value=\"Y\" tabindex=\"10\" autocomplete=\"off\">\r\n                                                        Oui (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Enflure du mollet (&ge; 3 cm) vs jambe asymptomatique<br \/>\r\n                    <span class=\"label-lighter\">mesur\u00e9 10 cm sous la tub\u00e9rosit\u00e9 tibiale<\/span>\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-sm-3\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"calf-swollen\" id=\"medical-calculator-wells-leg-veins-calf-swollen-n\" value=\"N\" tabindex=\"11\" autocomplete=\"off\">\r\n                                                        Non\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"calf-swollen\" id=\"medical-calculator-wells-leg-veins-calf-swollen-y\" value=\"Y\" tabindex=\"12\" autocomplete=\"off\">\r\n                                                        Oui (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label mt-auto\">\r\n                                    \u0152d\u00e8me prenant le godet du c\u00f4t\u00e9 symptomatique\r\n                                <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"pitting-edema\" id=\"medical-calculator-wells-leg-veins-pitting-edema-n\" value=\"N\" tabindex=\"13\" autocomplete=\"off\">\r\n                                                        Non\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"pitting-edema\" id=\"medical-calculator-wells-leg-veins-pitting-edema-y\" value=\"Y\" tabindex=\"14\" autocomplete=\"off\">\r\n                                                        Oui (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label mt-auto\">\r\n                                    Pr\u00e9sence de veines collat\u00e9rales superficielles (non variqueuses)\r\n                                <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"collateral-veins\" id=\"medical-calculator-wells-leg-veins-collateral-veins-n\" value=\"N\" tabindex=\"15\" autocomplete=\"off\">\r\n                                                        Non\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"collateral-veins\" id=\"medical-calculator-wells-leg-veins-collateral-veins-y\" value=\"Y\" tabindex=\"16\" autocomplete=\"off\">\r\n                                                        Oui (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label mt-auto\">\r\n                                    TVP d\u00e9montr\u00e9e ant\u00e9rieurement\r\n                                <\/div>\r\n                <div class=\"col-sm-4\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"deep-leg-vein-thrombosis\" id=\"medical-calculator-wells-leg-veins-deep-leg-vein-thrombosis-n\" value=\"N\" tabindex=\"17\" autocomplete=\"off\">\r\n                                                        Non\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"deep-leg-vein-thrombosis\" id=\"medical-calculator-wells-leg-veins-deep-leg-vein-thrombosis-y\" value=\"Y\" tabindex=\"18\" autocomplete=\"off\">\r\n                                                        Oui (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-8 col-form-label\">\r\n                                    Diagnostic alternatif au moins aussi probable que la TVP\r\n                                <\/div>\r\n                <div class=\"col-sm-4 mt-sm-2\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"alt-diagnosis-likely\" id=\"medical-calculator-wells-leg-veins-alt-diagnosis-likely-n\" value=\"N\" tabindex=\"19\" autocomplete=\"off\">\r\n                                                        Non\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"alt-diagnosis-likely\" id=\"medical-calculator-wells-leg-veins-alt-diagnosis-likely-y\" value=\"Y\" tabindex=\"20\" autocomplete=\"off\">\r\n                                                        Oui (-2)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/form>\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12\">\r\n                <div id=\"medical-calculator-wells-leg-veins-result-text\" class=\"result-text\">\r\n                    <p><h5>                    Score de Wells pour la thrombose veineuse profonde:\r\n                                        <span id=\"medical-calculator-wells-leg-veins-result-value\"><\/span><\/h5><\/p>\r\n                    <p id=\"medical-calculator-wells-leg-veins-result-interpretation\"><\/p>\r\n                    <p>                        Recommandation:\r\n                                        <span id=\"medical-calculator-wells-leg-veins-result-recommendation\"><\/span>\r\n                    <\/p>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            Interpr\u00e9tation\r\n                                    <\/h5>\r\n                <div class=\"table-responsive-sm\">\r\n                    <table class=\"table table-bordered\">\r\n                        <thead>\r\n                            <tr>\r\n                                <th>\r\n                                                                            Score\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Classification et recommandation\r\n                                                                    <\/th>\r\n                            <\/tr>\r\n                        <\/thead>\r\n                        <tbody>\r\n                            <tr class=\"table-row-a\">\r\n                                <td>\r\n                                                                            &le; 1\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            <p><strong>Thrombose veineuse improbable<\/strong><\/p>\r\n                                        <p>Recommandation: dosage des D-dim\u00e8res<\/p>\r\n                                        <p>\r\n                                            <ul>\r\n                                                <li>Des D-dim\u00e8res n\u00e9gatifs permettent d\u2019exclure la TVP<\/li>\r\n                                                <li>En cas de D-dim\u00e8res positifs, \u00e9cho-doppler pour exclure la TVP<\/li>\r\n                                            <\/ul>\r\n                                        <\/p>\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-b\">\r\n                                <td>\r\n                                                                            &ge; 2\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            <p><strong>Thrombose veineuse profonde probable<\/strong><\/p>\r\n                                        <p>Recommandation : \u00e9cho-doppler imm\u00e9diat pour exclure la TVP<\/p>\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                        <\/tbody>\r\n                    <\/table>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            R\u00e9f\u00e9rences\r\n                                    <\/h5>\r\n                <ol class=\"references\">\r\n                    <li id=\"wells-leg-veins-cite-note-1\">Wells PS, Anderson DR, Rodger M et al. Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis. N Engl J Med 2003; 349: 1227-1235<\/li>\r\n                <\/ol>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n    <script type=\"text\/javascript\">\r\n                var medical_calculator_wells_leg_veins_messages = {\r\n            'interpretation_le1' : 'Thrombose veineuse improbable',\r\n            'interpretation_ge2' : 'Thrombose veineuse profonde probable',\r\n            'recommendation_le1' : 'dosage des D-dim\u00e8res<br \/><p><ul><li>Des D-dim\u00e8res n\u00e9gatifs permettent d\u2019exclure la TVP<\/li><li>En cas de D-dim\u00e8res positifs, \u00e9cho-doppler pour exclure la TVP<\/li><\/ul><\/p>',\r\n            'recommendation_ge2' : '\u00e9cho-doppler imm\u00e9diat pour exclure la TVP',\r\n            'point' : 'point',\r\n            'points' : 'points'\r\n        };\r\n            <\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>S\u2019appuyant sur des donn\u00e9es d\u2019anamn\u00e8se et des crit\u00e8res cliniques, le score de Wells pour la thrombose veineuse profonde (TVP) permet d\u2019\u00e9tablir la probabilit\u00e9 d\u2019\u00eatre en pr\u00e9sence d\u2019une TVP. La probabilit\u00e9 pr\u00e9-test qui en r\u00e9sulte aboutit \u00e0 des recommandations pour la suite des d\u00e9marches diagnostiques.<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":7598,"menu_order":564,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-13829","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13829","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/comments?post=13829"}],"version-history":[{"count":1,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13829\/revisions"}],"predecessor-version":[{"id":13830,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13829\/revisions\/13830"}],"up":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/7598"}],"wp:attachment":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/media?parent=13829"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}